Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,125.15 / $5,063.00 / $7,421.00	Facility		$2,125.15	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,815.94 / $2,125.15 / $4,530.79	Professional		$1,815.94	$2,125.15	$4,530.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.97 / $2,941.38 / $5,671.45	Professional		$1,978.97	$2,941.38	$5,671.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,338.97 / $3,928.20 / $4,567.28	Facility		$3,338.97	$3,928.20	$4,567.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,223.39 / $3,255.73 / $5,344.73	Professional		$2,223.39	$3,255.73	$5,344.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,027.31 / $2,580.21 / $13,386.00	Professional		$2,027.31	$2,580.21	$13,386.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,587.00 / $8,133.00	Facility		$1,269.00	$3,587.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,994.93 / $2,953.94 / $4,611.22	Professional		$1,994.93	$2,953.94	$4,611.22